Provider Demographics
NPI:1629397450
Name:MARK BARATS MD A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:MARK BARATS MD A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:BARATS
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:323-654-2020
Mailing Address - Street 1:948 N FAIRFAX AVE
Mailing Address - Street 2:STE201
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90046-7204
Mailing Address - Country:US
Mailing Address - Phone:323-654-2020
Mailing Address - Fax:323-654-2828
Practice Address - Street 1:948 N FAIRFAX AVE
Practice Address - Street 2:STE201
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90046-7204
Practice Address - Country:US
Practice Address - Phone:323-654-2020
Practice Address - Fax:323-654-2828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-18
Last Update Date:2014-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty